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Efecto de un programa de actividad fisica sobre la autoestima en sujetos con enfermedades cronicas (Effect of a physical activity program on self-esteem in subjects with chronic diseases. 'Pas a Pas' community intervention trial) [Spanish] [with consumer summary]
Villalobos F, Vinuesa A, Pedret R, Reche A, Dominguez E, Arija V, Equipo de investigacion
Atencion Primaria 2019 Apr;51(4):236-244
clinical trial
5/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: No; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: No; Adequate follow-up: Yes; Intention-to-treat analysis: No; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed*

AIM: To evaluate the effectiveness of a 9 months of supervised physical activity (PA) program with sociocultural activities, on self-esteem and its association on the control of chronic diseases in adult primary care users. DESIGN: Multicenter, randomized, controlled community intervention. LOCATION: 4 Primary care centers in Reus-Tarragona, Spain. PARTICIPANTS: 364 subjects, randomized to the control group (CG = 104) and intervention group (IG = 260). INTERVENTION: Supervised walking program of 120min/week with sociocultural activities once a month. MAIN MEASUREMENTS: At baseline and at post-intervention we assessed: PA (IPAQ-S), self-esteem (Rosenberg scale) and cardiovascular indicators: smoking, systolic (SBP) and diastolic (DBP) blood pressure, serum LDL and HDL cholesterol, and serum glucose. Sociodemographic characteristics and diagnostic of chronic diseases are recorded. RESULTS: The program increased the PA in the IG (p = 0.001), while it decreased in the CG (p = 0.002), and also the self-esteem in the group of participants (1.28 points, p = 0.006) and in the groups with diagnoses of hypertension (1.60 points, p = 0.005), dyslipidemia (1.62 points, p = 0.012), excess weight (1.24 points, p = 0.011) or anxiety/depression (1.53 points, p = 0.045), assessed by multivariate statistical models. The increase in self-esteem during the intervention decreased SBP -0.5 mmHg (p = 0.030) in the hypertension group, regardless of baseline SBP and the effect of the intervention. CONCLUSION: The PA program increased the PA and self-esteem in adult primary care users. The increase of self-esteem improved the control of SBP in hypertensive patients.

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